肠易激综合征舌脉证Fisher确切概率的研究  

Study on tongue and pulse manifestations and syndromes of irritable bowel syndrome by Fisher's exact test

作　　者：陈群[1] 郑霖勃[1] 

机构地区：[1]广州中医药大学基础医学院,广州510405

出　　处：《中华中医药杂志》2013年第10期2894-2897,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展计划项目(973计划)(No.2011CB505103)~~

摘　　要：目的:文章归纳肠易激综合征(IBS)不同中医证型间舌脉分布结构的特异规律,为IBS中医临床的辨证诊断提供参考依据。方法:通过观察2011年11月-2012年6月两所广东地区医院和三所山西地区医院收集的共计309例确诊为IBS患者的65个舌脉特征与中医辨证分型进行研究,按证型分为6组进行舌脉四格表Fisher确切概率检验。结果:IBS患者不同证型组之间共32种舌脉特征分布存在统计学差异,各组均与其他2-3个组出现具有鉴别意义的舌脉。结论:IBS患者出现的舌脉与其病机特点密切相关,在临床上能通过诊察患者的舌色、舌形、苔色、苔质、舌下络脉、脉位、脉率、脉形、脉势,对6个证型的IBS进行鉴别和判定。Objective： Summarizing the specific regularities of tongue and pulse manifestations in IBS patients with different syndromes, to provide the references for clinical differential diagnosis in IBS. Methods： Selecting 309 cases with IBS from 5 hospitals （2 from Guangdong and 3 from Shanxi） during November 2011 to June 2012 and divided them into six groups according to different syndromes. Tested 65 tongue and pulse manifestation variables among different syndrome groups by Fisher exact probability test in 2x2 table data. Results： There were 32 manifestation variables statistical difference among the six groups with different syndromes. Distributions of tongue and pulse manifestations in IBS patients with different syndromes were significance. Each group had identification significance among others. Conclusion： The tongues and pulses had close relations to pathogenesis. Accroding to tongue color, shape, tongue coating color, tongue coating character, subglossal collateral vessels, pulse position, rate, shape, force, clinical physician could distinguish and diagnose IBS patients with 6 different syndromes.

关 键 词：肠易激综合征 舌脉 中医证型 

分 类 号：R259[医药卫生—中西医结合]